91-1913 ��r�.:�.: :.�L? �I q i - Iq13
��Council File �
Green Sheet # (�5Q5
RESOLUTION
CITY OF SAINT P UL, MINNESOTA �
.
Presented By
Referred To Committee: Date
RESOLVED, that the City Council consents to, and approves
of the appointments, made by the Mayor, of the following
individuals to serve on the Youth Movement Committee.
NAME TERM
Denise Adrian 1-year term
Angela Burns 2-year t'erm
Jennifer Lohman 1-year term
Thomas Lydon 2-year term
Gina Zipkin Weisblat 2-year term
Chon Yang 2-year term
Lao Yang 1 year term
Xay Yang 1 year term
All committee members terms will expire as stated above 1-2
years after their initial meeting.
_ Pa � Navs Absent Requested by Department of:
smon i
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on
acc
e
u e
z son i BY�
Adopted by Council: Date 0�T � � 1991 Form Ap ved by Ci y Attorney
Adoption erti i d by Cou 1 ecretary Sy: � � , L C_
BY� Approved by Mayor for Submi ion to
l / Council
Approved b ` I�a or: D - CT 18 1991(
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DEPARTMENT/OFFICE/COUNCIL DATE INITIATED �� 16 5 0 5
Ma ' 9/18/91 GREEN SHEET
CONTACT ERSON&PHONE INITIAUDATE INITIAL/DATE
�DEPARTMENT DIRECTOR CITY COUNCIL
� AS81GN ATTORNEV CITY CLERK
MUST BE ON UNCIL AQENDA BY(DA E) NUIiABER FOR gUDGET DIRECTOR �FIN.&MGT.SERVICES DIR.
ROUTIN�
ORDER MAYOR(OR ASSISTAN� �
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Approval of the Mayor' s appointments to the newly formed YOUTH MOVEMENT
COMMITTEE.
RECOMMENDATIONS:Approve(A)or ReJect(R) PERSONAL SERVICE CONTRACTS MUST ANSWER TME FOLLOWING QUESTIONS:
_ PLANNING COMMISSION _CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a contract fOr this department?
_CIB COMMITTEE _ YES NO
2. Has this person/firm ever been a city employee?
_STAFF — YES NO
_DISTRICr COURT _ 3. Does this person/firm possess a skill not normall
y possessed by any current city employee?
SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO ,
Explaln all yss an�wers on separats sheet and attach to preen�heet
INITIATIN(3 PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why):
RECEIVED
SEP 30 1991
MAYOR'S OFFIC'E
ADVANTAGES IF APPROVED:
All committee members will serve 1-year and 2-year terms as stated on
Council Resolution after the date of their initial meeting.
DISADVANTAOES IF APPROVED:
DISADVANTAOES IF NOT APPROVED:
RECEIVED
OCT 0 3 1991 C�u�t�;�► ���r�=���F C�r�t�r
CITY CLERK , OCT 01 1991
TOTAL AMOUNT OF TRANSACTION s COST/REVENUE BUDGETEO(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) ��
. � � -
NOTE: COMPLETE DFRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225).
ROUTINO ORDER;
Below are correct routings for the five most frequent types of documents:
CONTRACTS(assumes authorized budget exists) COUNCIL RESOLUTION(Amend Budgets/Accept.Cirants)
1. Outside Agency 1. Department Director
2. Department Director 2. City Attorney
3. City Attorney 3. Budget Director
4. Mayor(for contracts over$15,000) 4. Mayor/Assistant
5. Human Rights(for contracts over$50,000) 5. City Council
6. Finance and Management Services Director 6. Chief Accountant, Finance and Management Services
7. Finance Accounting
ADMINISTRATIVE ORDERS(Budget Ravision) COUNCIL RESOLUTION (all others, and Ordinances)
1. Activiry Manager 1. Department Director
2. Department Accountant 2. City Attorney
3. Department Director 3. Mayor Assistant
4. Budget Director 4. City Council
5. City Clerk
6. Chief Accountant, Finance and ManagemeM Services
ADMINISTRATIVE ORDERS(all others) •
1. Department Director
2. Ciry Attorney
3. Finance and Management Services Director
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGES
Indicate the#of pages on which signatures are required and paperclip or flag
each of thsse papes.
ACTION REQUESTED
Describe what the projecUrequest seeks to accomplish in either chronologi-
cai order or order of importance,whichever is most appropriate for the -
issue. Do not write complete sentences. Begin each item in your list with
a verb.
RECOMMENDATIONS
Complete if the Issue in question has been presented before any body,public
or private.
SUPPORTS WHICH COUNCIL OBJECTIVE?
Indicate which Council objective(s)your projecUrequest supports by listing
the key word(s) (HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUD(iET,SEWER SEPARATION).(SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
PERSONAL SERVICE CONTRACTS:
This information wiil be used to determine the ciry's liabiliry for workers compensation claims,taxes and proper civil aervice hiring rules.
INITIATING PROBLEM, ISSUE,OPPORTUNITY
Explain the situation or conditions that created a need for your project
or request
ADVANTAGES IF APPROVED
Indicate whether this is simply an annual budget procedure required by law/
charter or whether there are specific ways in which the Ciry of Saint Paul
and its citizens will benefit from this projecUaction.
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or past processes might
this projecVrequest produce if it is passed (e.g.,traffic delays, noise,
tax increases or assessments)?To Whom?When? For how long?
DISADVANTAGES IF NOT APPROVED
What will be the negative consequences if the promised action is not
approved? Inability to deliver service?Continued high traffic, noise,
accident rate?Loss of revenue?
FINANCIAL IMPACT
Although you must tailor the information you provide here to the issue you
are addressing, in general you must answer two questions: How much is it
going to cost?Who is going to pay?
� � � � q � - �g�3
:0:
CITY OF SAINT PAUI
INTERDEPARTMENTAL MEMORANDUM
TO: Council President Wilson
Saint Paul City Councilmembers
FROM: Molly O'Rourke,. ��
City Clerk � �
DATE: September 18, 1991
RE: Appointments to the YOUTH MOVEMENT COMMITTEE
Attached is a copy of the resolution appointing members to the
YOUTH MOVEMENT COMMITTEE.
The Mayor has recommended the following:
NAME TERM
Denise Adrian 1-year term
Angela Burns 2-year term
Jennifer Lohman 1-year term
Thomas Lydon 2-year term
Gina Zipkin Weisblat 2-year term
Chon Yang 2-year term
Lao Yang 1-year term
Xay Yang 1-year term
All committee members terms will expire as stated above
1-2 years after their initial meeting. Copies of the members
applications are attached for your information.
MOR/j rk
Attachments
cc: Council Research
Robin Hickman
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�- I�� OFFICE OF THE MAYOR . ' 17
347 CITY HALL �UL �99� ;; ,}.
SAINT PAIIL, MINNESOTA 55102 - . -
298-4736 NiAY01t'S OFFtCE r _ � - '
Name: Gf.D .
Home Address: � i,�1 . ��[. -
Street City �
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Telephone Number: (Home) ����7'Z 9 J 9 .(QorkS � `"
Planning District Couacil: _ .�� , ' `�t '
. , City Counc il iTard: ±����,
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Preferred �isiling Address: 2� '. U t.� , c�,�, .` 1� � "��/ 4 , _' '
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What is your occupation? G�, vt = ,� _ �
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Committee(s) Applied For: v G,,,,,,�„ �p i '�, � - �
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Ahat skills/training or ezperience do, yov, possess for the:committee(s) for which you seek
appointment? �
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The information included in this application is considered private data according to;:`the;_ :
liinnesota Goverment Data Practices Act. As a result, this information is not released to
the general public. -
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Co��
Rev. 8-15-90
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. �Ai. REFERENCES ` '`'
,e• 1/.�.r�.��'s �iY/C.� Sd<'► '
Address• ��{y (�tJ. _G!> tn�G► ' _ • .
Phone:-(Home) . �� � - ��/�J 3 [Qork) Z `�7 � � �/ C,/�Z -_
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Name• ; , *.
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Address. pt .�..1/.S- /�oZO � L.V/�-� �/7 ' ..
Phone: (Home) `t��'� ��le�o • • � _ : , � ,
fiTork) a��f'"S�/O "��� , .
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Name: � , '� -'`� �` � : -�
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AQ�rQ.s�l� �; ��� � ,y4��Z4""" :i ��_" f`tl�
t��4 }��'S_� r �r ,� +� .� t _ j.sh F�
�O�iie: - Ome �"., �.: � .;� `� Iork � ar "�'�::`
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Reasons for your interest in this particular committee:_ �/G�-� +., 1+„=,�
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Have_.pou�had .previous •contact vith the committee for orhich pou are.making application. �
If so, when, and :cireumstances? '
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In an attempt to ensure that committee representation reflects the makeup of aur
comauaitg, pleasa �:iec�; tha lir.e applicabie �c yo-s, This information is strictiy
volvntary �„�.
��- �''y,.,2i'��di :;yfY�� F ����e�`"A�• :�'��ETifinti"`j-":;�. ..�.�'.:.'�" — �"'..•p�-_�°' ..':f.`�'!P �"'.'�i.=_v'tphgY''+.;; v�, �'"�y�y,� ,;-_, �-.x' ,:;�,!
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Wh.ite (Cau�asian) . H�.spanic
Black (African:•emerican) _�sian or Pacific Islander -
American Indian or Alaskan Eskimo
V �le . .._.
Female Date of Birth: �� � 2 � � �-3
Disabled: Yes . po V
If special accommodations are needed, please specifp. `
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How did pou hear about this openingT __ ��G'l G �d n d�-�'� �4�re�it. �lvb /! G S. ��rk c
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PERSONAL REFERENCES
Name: ��,'n� S f 1 C�� ��
Address• ��'1 Q Vv• � �(�(�Q�
Phone• (Home) . � ��- � � �3 «,ork� �a � � � �y Z
Name: . .
Address:___ � (�.�'L1� l� C�. I 2 2 o S u (yc.�.n �� �
Phone: _ (Home) T'I�i� �' ��l�� ` (Work) 2.�t�—J' $ � (`�
Name: _�P_S�P. V`�/�r�.n
Address• �� �� �I iM, )1 ((�_� �
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P2�one: -- (Home) � 1 �--�-1 3�b «ork� G,�''' �g� �
Reasons for your interest in this particular committee:� 1���. '�b t�, st,�Y�p
�
��U O� �2 c� �-i-�1 1 ��Ct7u� �rsm A11 �s-� '}-�LSZ., e-c.�t,� . 1
'v�l�- t �. -res,�� �o p � ,��rn r�'1,c��-I��esz. �Q.rv►.lr�/1
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Have youti�` Yiad previous contact with the committe� for which you are making application.
If so, when, and circumstances?
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In an attempt to ensure that committee representation reflects the makeup of our
co�unity, please check the line applicable to pou. This information is, strictly
voluntary.
White (Caucasian) Hispanic
Black (African American) � Asian or Pacific Islander
American Indian or Alaskan Eski.mo
Male �j
� Female Date of Birth: � — � 2 ' ! �
Disabled: Yes No �
If special accommodations are needed, please specify.
How did you hear about this opening? �l/1_G L���n�ti l3�t�n �,1�,�.h P►��_ �t�n���
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� �3 OFFICE OF THE MAYOR
347 CITY HALL ,JUL � 7 199�
� SAINT PAIIL, MINNESOTA .� 55102 . .
� 298-4736
r7ame: 0� Q. iV�AYQ�'S OF€ICE
Home Address: ' ' ( �1 � �. �r1;,no►-�on s-1 i �(�X � ��// 7
Street City Zip
Telephone Number: (Home) � V�"90�19 (Work) ��� " S p � V
Planning District' Council: - lS� City Covncil Ward: T
Preferred Mailing Address: I � J G � r �� t� r�� � �QQ.C.I�C� �� 55�� /
What is your occupation? (�aS��� ° � �� T Q;�f���
Place of Emplopment: /u,G 1/dn�� , �,G ��0!'LOvfQ�� /Pe C. ��7�/]
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Committee(s) Applied. For: l..l�`j[�!'T�_ ��L(JUC/�2� � � � �
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What skills/training or egperience do you possess for the committee(s) for which you seek
appointment?
. m.P�t QC. ' C,�Ct,�,p
tv,e. �c��cQ "Joln�ns �or� Soc.�2 r�cas.
� �c��.rl S o�tl �S o.�'�n C',,;i.,��-wue. C�-l`� ,�rtQ m�r2� d1 �1 G(�°r1t'►u�h
�2� �'xst.c�r i � �1.���l �{���`a,�'1 �011.CkSOC� `SC'�S f, �'o�(Y1j
-�� �.6 r ��1 C' -���,e,i 1 6) rYlc. 1� f�C�v�'SO�',
� d r �a�.' s c�r- 11'Z c,�o YL� -�e. ,
The information included in this application is considered private data according to the
Hinnesota Goverment Data Practices Act. As a result, this information is not released to
the general public.
�0�� .
. ' • - , . Rev. 8-15-90
, ,
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s��i,.;) J� ; OFFICE OF THE MAYOR ����W��
347 CITY IiALL
t �, � . �
r •. - _ SAINT PAUL, MINNESOTA 55102 AY 2 � 1991
��-' 'rv 298-4736
iU1�Yp�'� �FF10E
Name: CHON YANG �
Home Address: 1 �94 43 -� mi nG r t. St. Paul MN 551 01
Street City Zip
Telephone Number: [Home) 778-1026 ��ork� 29G-9738
Planning District Council: City Council iTard•
Preferred Mailing Address: �7q TTni vPrGi t� Ave_ #201 , St Paul, MN 551 03
What is your occupation? _ American Family Insurance A ent
Place of Employment: American Familv Insurance, 379 University Ave.
Committee(s) Applied Foz: _YOUTH MOVEMENT
Yhat skills/training or ezperience do you possess for the committee(s) for which you seek
appointment7
I 've been workina manv vears with the youth in elementary and
hiah school students, helpinq them lan for their career in future
nlanninQ. Counselinq them for a better future to become self
suficencv. School tou� for students to see their future on what
it like. Did and hold educational workshop once a month to the
students in different subject for them to ge e i ea o w a
the decision he or she like to become. Setup activity for them
to play and tutor session for them a ter sc o0 o e p eac
_ individual for his/her problem needs. Talk t� nar n about their
son or daughter that needs support on certain way. Try to teach
.,�ror,�c +-� �inr7crc��nr7 �F1-�c c.rcc�-arn crhnnl 4�CtP1T1 l 71 om�ari ng Wltl'1
their old system back home so they feel more comfortable to let
�F-}�oi r nh i l rircn }�n nar�-i r�i,�yaf-r� i n �arta i n a t"l V7l t� meach the
parents how to organize the tirr�� for their children to study his
�r hor hnmc �unrk a�- hnma an� trt� 1'n tt�rn C�nWfl d� � the noise SO
the child can concentaate on his/her homework. And the most
i m,�nrfani- i c aP�ti� Aarh i nr�i c�i t���a 1 �(]31 O 1'1 children and t0
sit down with his/her parents to go over the goal and to be pround
fnr 1-hc r-hi 1 r? tn hi a�}�ar fnt�irP
The information included in this application is considered private data according to the
?Sinnesota Goverment Data Practices Act. As a result, this information is not released to
the general public.
�0�)
Rev. 8-15-90
_.__.__ ---- — �
� � _ .
PERSONAL REFERENCES
Name• Yincr Vana
Address•
Phone:_.__�Home) ' (�Tork) � 4 8 7- 4 6 6
Name: Dick Putnam
Address•
Fhone: _ (Home) (i�Tork) 7 8 8-5 5 9 9
Name• Nenq Yanq
Address•
Fhone: (Home) (tiTork) �71_82 p 1
Reasons for your interest in this particular committee:
I want to help my communitv to chancte to become better communitv
in the futu�e. I want to help the children to plan for their own
career to become s�lf-sufiency and not to follow their parents
for the public assistance.
Have you had previous contact with the committee for which you are making application.
If so, when, and circumstances?
In an attempt to ensure that committee representation reflects the makeup of our
community, please check the line applicable to you. This information is strictly
voluntary.
White (Caucasian) Hispanic
Black (African American) �_ Asian or Pacific Islander
American Indian or Alaskan Eskimo
_� Male
Female Date of Birth: A�ril Ay 1964
Disabled: Yes No X
If special accommodations are needed, please specify.
Hov did you hear about this openinQ?
_. _ ._._
--_ _ __
� . � � i��3
' � � OFFICE OF TIiE MAYOR
347 CITY HALL ���
4� ,�, ' SAINT PAUL, MINNESOTA 55102
il i 298-4736 MAY 2�
Name: (S/�� � � ��ls' �q� � 3 19 91
Home Address:
�E�l� S. �i��/� �'T�G-f� L- v��� ���'tCE
Street City Zip
Telephone Number: (Home) ���7KR`A ����O �/ (tiTork� � J�7�O
Planning District Council: ��� City Council iTard: �
Preferred Mailing Address: �"5 /��"��
0
Qhat is your occupation? �flM Ir�Un 1 � ��-�n � C'�tl
Place of Employmeat: 'P� � �CK -{�� �/� Lc�'l ���7 Y'�
��'� .� ,��-«�n,�:�+ ,�.��, � /
Co�ittee(s) Applied For: ��'1�w�h�`'��8�'�"�'� "d� dK-
'iThat skills/training or esperience do you possess for the committee(s) for which you seek
appointment?
� tJ� a�i�J� o� i� � eST Sc� l�/ l� v �
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o �'7� �r-�°C. C a JS� �� l-����o /'�'-' �d d�-+"Q_�
D� G� G% �� �-_- a-e.-YJ� r-� t S 2� "/h �--� �
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t' _ n i"�t--1� .-� t�` � j/��,s, c%.2�
G 1� �/-e h _'L, �S � -----� l/�d�-� /��e f/4 �%�
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��et..c� � �,. / yc. �c�t'�S � � ..t c e_ ' r /� � o
q -e ovs--i.-�A „/� �'_ ..�v�^ ��
�P` ?�-c I� ����� � .
The information included in this application is considered private data according to the
2iinnesota Goverment Data Practices Act. As a result, this information is not released to
the general public.
(OVER)
Rev. 8-15-90
PERSONAL REFEBENCES _. -
Name: !7 l�, � �, _st�
Address: � t�n'' IDdR' � � . �[ �j �`'
Phone: (Home) (iTork) 2� 3~ d b D �
Name:
Address: ✓ /'6`_'"f� ��� S� �-�l�
Phone: (Home) �2�� � � � � (`Tork) 2��" / ��f�
e
Name: � n% �-@�'� (�W
eddress: I� � / t"7`�/�--°�/e� '" �" '"� '
Phone: (Home) � �l ��7��y (`lork)
Beasons for your interest in this particular committee:
t� • •
l-�c. �- ! c�•-• -, •-- /-�•_.e�...
Have you had previous contact with the committee for which you are making application.
If so, when, and circumstances?
�.JD�
In an attempt to ensure that committee representation reflects the makeup of our
community, please check the line applicable to you. T'his information is strictly
voluntary.
'� iThite (Caucasian) Hispanic
Black (African American) Asian or Pacific Islander
American Indian or Alaskan Eskimo
2ia1 /
emale Date of Birth: � V k`
L/��_
Disabled: Yes No
If special accommodations are needed, please specify.
Hov did you hear about this opening?
. 41- 1�13
-.J
GINA ZII'KIN WEISBLAT
WORK EXPERIEiVCE:
Sept. 1990 - Presen't Community Organizer
St. Paul, Minn. West Side Citizens Organization
Duti�s: Coordinate and organize
and minorities `to address their
needs in the community.
Sept. �1990 - Present Family Coordinator/Head Teacher
Minneapolis, Minn. Temple lsrael
Duties: Coor,dinate ax�d run family
programs, teach and help organize
second graders and �eachers.
May 1989 - May 1990 Child Care Worker
Cle�ela�id, Ohio Beach Brook,Treatment Center
Duties: Running a daily therapu:.ic
activity group for SBH children.
July 19$8 - Dec. 1989 Poison Control Technician �
Cleveland, Ohio Poison Control Center- Univ. Hospital
Duties: Ranged from crisis management
information counselirig as hot-line operator,
�
Sept. 19$7 - May 1988 Relief Cqunselor
Amherst, Mass. Amherst Shelter for Youttis
' Dut�.e�: Supervised deliquent youth and/or
abused adolescents at DYS/DN�-I/DSS
fnnded she�ter. ,
Jan. 1986 - Aug. 19�87 pay Camp Director
Cleveland, Ohio Overnight/Fun Club Director
Youth Men's Chrisfian Association
D,uties: Supervised 20 staff inembers for
lOQ campers. Budget management.
Fall - 1987 Teacher's Aide
Amherst, Mass. Hampshire Educational Coliaborative
Duties: Instructed rehabilitative training
for severe mentally and physically
handicapped students of high school age.
Jan. 1986 - June 1987 Student Research Assistant
Cleveland, Ohio University Hospitals
Duties: Worked on Cancer research
' project involving investigation and analysis
of T-Lymphocytes.
VOLIJI�ITEEK WORK:
Fall - 1989 NCCJ Weekend Retreat for Teens
Spring - 1988 Veterans Adm. Hospital-Amherst, Mass.
Spiing - 1986-$7 YIVICA Leaders Club Advisor
Spring -1986 State Representative Fundraising Campaign
Fall - i986 Hanna Pavilion Adolescent Tutor-Univ. Hospital
EDUCATION:
Graduate: M.A. in Counseling and Human Serv. = (5/90)
John Carroll University Practicum: Counseling work with families,
Cleveland, Ohio individuals and groups. Specialized work -
,, with minority and SBH children. (GPA 3.9)
Undergraduate: B.A. in Liberal Arts - (5/88)
Hampshire College Concentration: PsychologyBiology
Dissertation on: Educational
Amherst, Mass. Management and Control of Asthma
(Ungta�led�School)
ACTIVITIES: Women's Health Newsletter (Founder & Editor)
� Women's Health Issues Group (Founder &
Coordinator), Admissions Intern, Reporter for
the Shofar (A 5-Colle�e Newspaper), Mass. PIRG,
Peace Center Representative, �Intramurals:
Women's Soccer, Co-ed Softball, Co-ed Soccer
Indoor and Outdoor, Women's B�asketball, Badminton
Club, and Caed Waterpolo ,
AWARDSIGRANTSIHONORS: APA Great Lakes Conference (1990)
Student Research Poster Sessions: "The
ffects of Birth Order on Value Assessment",
Annual Meeting of the Radiation Research
Society (1989). Presentation accepted: "Cell
Volume Reduction and Interphase Death",
Threshold Grant Recipient (1988),
University Hospitals Certificate (1987): Over
500 volunteer hours served,
Joseph Silber Grant (1986)
Ciry of Cl�veland Heights Proclamation for
outstanding volunteer youth work.
References and Wri in m le Available i�pos►. Request
/ �" � OFFICE OF THE q�-19��CE�VE�
MAYOR
� 347 CITY FIALL AUG 2 7 �99�
SAINT PAIIL, MINNESOTA 55102
298-4736
� • MAYOR'S OFFICf
Name: ��/S'P/ .�
Home Address: �. , S�� ��,( �n� , S�f"'�0�2.�
Street City � Zip
Telephone Number: (Home) �7�� �7fo [Work) ��� ��77
Planning District Covncil: City Council Aard:
Preferred ?iailing Address: �9„? ��./y Sf-
What is your occupation? _ ��u�P� � f+`� C,�_s� 'P �
Place of Employment: �G h O C��G �` �c s
Committee(s) Applied For: �C f.��'"h /,1 C cJ 2./Lt e/1 � �.,m,l,�; fj�-eP i
What skills/training or eaperience do you possess for the co�ittee(s) for which you seek
appointment? �
!e^ � �.�— ���,�. � �,��� -�.�
��S/� n S�� �O � �t��-�ti"� �p �c S/rA h � �rs'� �/) /���-�� �1 /7`e
OitC nC�
O G i � / ! G� �I S O y�C �
�� S�Pl1T C6Edt G/ /r ��l'1 C`��j�JPi >v� /���,4l�C�T /� �`�— C�/t�f�y
� ���I�-�Y�(�,r- 9L �e-/� �`�� �� ct r � �, ti ,�� n 1' �- �<< �C.�� �
lJ`lS So rn-��': i w 7 Gc. G�- .� L �E? '
The information included in this application is considered private data according to the
Minnesota Goverment Data Practices Act. As a result, this i.nformation is not released to
the general public.
���)
Rev. 8-15-90
PERSONAL REFERENCES
Name• _ l/_1 r5� �e S Q ���i�/�"'
Address• .3�7 �Gi/y ,57�
�
Phone: (Home) ,..,�,�� ' .��n �K (Work)
Name: . �/`5. Ja-c�%� ��G�S'Oti
Address: 3 77 Dc�./� �'
Phone:_ (Home) �9,� ~' /��5� (Work)
Name• ���`.5 . �/ ��//'�C�
'T—�
Address: �.3�4 d/'t�/.G�-t�� `12 . ��• L��- /f/�"�',
Phone: (Home) �7'��'� —O O �/ (Work)
Reasons for yovr interest in this particular committee:
T �� �e� l�,L�r �vl lv��/ dct� .
°� e.�e �i'>
/� � �
G'�, W�!�(� � C L(,it 0� ��l �li✓C ,3 ' �� !.�" . !�i
/�hO�L'C'�' / /�-'�-?�'C�•
Have you had previous contact with the committee for which you are making application.
If so, when, and circumstances�?
�D —
In an attempt to ensure that committee representation reflects the makeup �of our
communitp, g.lease check the line apglicable te you. This =nfonna*ie*i is strictlg
volvntary.
V White (Caucasian) Hispanic
Black (African American) Asian or Pacific Islander
American Indian or Alaskan Eskimo
Male / p /
� Female Date of Birth: lD �a / ��
Disabled: Yes No �
If special accommodations are needed, please specify.
How did you hear about this opening? �rG�G�� G� ���/^ SC,� J� �'
/7.,� 1...�c>_ v:. �-�i SH.�n n�f� Ivor� .
�- -__- �- /�,�-�� /��-' :
�
Employment History (list company/organization and title) :
��
, �. �,�,�, �� (,�� �� �1.� /�', � ,t?/ ��
.�.1.����� � � ,
�, �- ,�''; iI ��"I;�/C� � � ; ,, �.
(A t c a resume i avai a e.)
Reasons for your interest in serving on the council:
.�.D /' �, ��� �-,�.��. .�.-��,�.��
: ,, . .
` -' � �,� �,�.P C��2���-e� k ,
,�, � � - � �- � , � .��
�----� 1 Z� ;
,
� 1 � � � ' � � ��' �. �
(Please attach�a tii �ional comments to this application. )
List issues that interest you: �� ,� ' � � _�,/ ,
; � ,
v k'� �" ' � �/�<. � � � ,1, � ' l ,,,. /=7�i�
Check project interest:
Policy,Development/Lobbyinc� Special Events
Communications/Media Relations � �Speakers Bureau �
How did you f ind out about the Youth Movement? :
�-�l � � �;. i�"��, � ������'G�� �"" t/�, �� c�� .; ,.�
�
. . ;
Please submit with this application two letters of
recommendation, one from a youth, by May 31, 1991 to:
Robin Hickman
Youth Coordinator
Department of Community Services
545 City Hall
Saint Paul , MN 55102
. � , "- � - � `�`'q I -1q i3
, -� � ! I � -<<�`� (
-.r
�
RECEtVED �
,
YOUTH MOVEMENT ��N 2 0 1991
PROylO'1'ING OUR RICHT TO BE INVOLVED BECAUSE WE ARE THE FUTURE �j{�$!lNitEs
Application Form
Name
: �LL��'��� �1��G� --j ' Age'--�-
ast �J irst m. 1..
Address: f�'� ���d����" - ����(.! ����'�
street city zip
y �C�
Phone: � �"�� :� � . ,� .
. ' '
Parent(s)/�uardian: ���'� ��[G�� � �,�
Racial/Ethnic Background: c� ,� (CC�,v'1 �,'��`_'G�1���s��X= �'
School: � �l�V �� l,l/L� ( � Grade:� �
Advisor:
Principal: f i/G�. ,�, �/�l�'� �t'(���
Extracurricular Activities: �'��7n r����; ��t��-� •
_�Z�'c�'�t� ���`�.�� �. � �/��-�71�! �sX,� �'s�
� �
Community Involvement: l �F� �/C�ZI ��%� �`��Y��
. t
��l i�7����i' f'� ��1' �% C�-C- ,�" ,�c� �-
�
personal References (2)
�'i r�? -�/ �' ' �
Name:� �
` � 7/� _�,l' G•(,li,�? l`�1 U SJ /
Address: -
street � city � zip
��1 � ' �
Phone• �t�- — r ���,%�. -
� ome work
,
Name: (�,1���� �l���
' Ol�`�/j/ �s�o�=�
Addre s s: �� ���' (��1���� ��C��' v
street city zip
Phone::��1'�7i `'CC� ��� ��"�` ��% G 7
ome wor
(over)
. . �/ /��3
PERSONAL REFERENCES
Name: Donald L Sam�elson
Address: 373 S . Winthrop #163 St Paul MN 55119
Phone: Home) 7.31-0 0 9 3 [Work)
Name: Steve Trimble
Address- 77 Maria Avenue, St. Paul MN 55103
Phone:__�Home) 7 7 4-2 0 9 6 (tiTork)
Name: Sheila Tesch
Address• 388 Burlington Road, St. Paul, MN 55119
Phone• Home) . 739-4485 (Work) 733-0789
Reasons for your interest in this particular committee• Booster Club President, Vivian
Stone, asked me to respond to the solicitation for members from the mayor. She
felt that I was a good role model with good organizational skills, and would
be responsible on the committee. I was impressed with her thoughts and would
like to offer my skills to help better the City of St Paul
Have you had previous contact with the committee for which you are making application.
If so, when, and circumstances?
No.
In an attempt to ensure that committee representation reflects the makeup of our
community, please check the line applicable to you. This information is strictly
voluntary.
X White (Caucasian) �O$ Hispanic
Black (African American) Asian or Pacific Islander
X American Indian or Alaskan Eskimo 3 0�
Male
�_ Female Date of Birth• November 11, 19 71
Disabled: Yes No X
If special accommodations are needed, please specify.
How did you hear about this opening? Mayoral solicitation of Boost�r Club .
.
�- �-�'
y-�^""" � �� � OFFICE OF THE MAYOR ��EI�/ED � ' -19 �3
� . 347 CITY HALL
n�,�.�jr SAINT PAIIL, MINNESOTA 55102 AUG � 1 1991
��� � � � 298-4736
Name: Jennifer C. Lohman MAYQR'$ OFFICE
J
Home Address: 371 S. Winthrop #190 St. Paul, MN 55119
Street City Zip
Telephone Number: (Home) 738-3811 (Work) 736-6953
Planning District Council: Distr�Ct One City Council Ward: �
Preferred Mailing Address: 371 S. Winthrop #190 St. .Paul, MN 55119
What is your occupation? Student/Technical Aide (3M)
Place of Employment: 3M
Committee(s) Applied For: Youth Movement
What skills/training or eaperience do you possess for the committee(s) for which you seek
appointment?
Organized and established Harding High School Science Club, President two year:
Harding High School Band Council, Amnisty International member, Students Again:
Drunk Driving member, Student Integration committee member, volunteer at
Highwood Hills Recreation Center supporting youth activities, and Highwood
-Hills Booster Club Teenage laison officer .
The information included in this application is considered private data according to the
?iinnesota Goverment Data Practices Act. As a result, this information is not released to
the general public.
(OVER)
Rev. 8-15-90
' � MQY 2 3 1991 q I -1913
� � j � YOUTH APPLICATION
/� ��.�,�� � OFFICE OF THE MAYOR �"''����r�� �'��tC�
(. •. , 'r' ,';.�`������ 347 CITY HALL
-� " SAINT PAUL, MINNESOTA 55102
298-4323
Name: �IL OYY1. � Q/ G�,0�
Address: �02 `� w � ��� `-� ` �` r �1.� �� ��
Street a City Zip
Phone: ��oZ,'� � ��00
s�nool: ��'t.�.wwbo I.o(-� �i�. �i�
_3 Z
City Planning District Ward Senate District
Ethnic Group ��"U�
(to ensure fair and equal representation)
Commmission or Committee Applied for: , ���i �� V 6/ "��� (
Reasons for your interest in this particular committee: ,� �
�d-1 r�e� Q��u�e an o urc ee� �ou�e�1 . ��-e h,P�ec�w�i
� �S .�' V1 U t 2�1.rn e,v�- i s s U e S. C [eGLn-c.c�s . �-�C�.Ph (,� �--l.t�'h
� �V'(� i �C�•
��
(If more space is needed, please use back of application) ,
Teacher References '
iv ame: �� � 1 D ��U
school: �Id'�(/�'YI��D`O�' � 2• Nd'tG�
Phone: (Work) ��� ' g �� b (Home)
Name: I ��L ���U.-�l"1 S
s�noo i: .�J- L�c.n�1. b o [o(.-f J 2� �-G h
Phone: �Work) ���- ���� (Home) �
� 10/87